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The Sorehand Chronicles: The best RSI
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Date: Fri, 1 Dec 2000 03:24:27 EST
Subject: Tendonitis i have recently been diagnosed with tendonitis in the hands. what has worked for healing this injury for you sorehanders? how long does it take to heal? are anti-inflamitories a healing agent or just a pain-cover-up? any feedback would be helpful and apprecitated. -Dan
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Date: Fri, 1 Dec 2000 06:57:33 -0500
Subject: Re: Tendonitis
I read a paper once that showed that antiinflam. meds work to help healing IF
TAKEN with GENTLE EXERCISE of the affected tissues. No exercise, no helping in
healing.
Heather
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Date: Fri, 1 Dec 2000 06:41:16 +0000
Subject: Re: Tendonitis
Dan:
I have also been diagnosed with tendentious in the hands. I had carpal
tunnel surgery two years ago and the inflammation never left my fingers
and hands but the rest (numbness) went away.
So far I have been seen by two doctors for the tendentious and they both
are telling me that the only answer is the anti-inflammatory meds.
They one that seems to be working for me is Napersin. Sometimes it can
take up two 4-6 weeks to see the full effect of the medicine.
What are all of your side effects?
Wish you the best.
Cheryl
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Date: Fri, 1 Dec 2000 10:44:30 EST
Subject: Re: Tendonitis
Here is what has gotten my forearm tendonitis in remission....
-Physical therapy and more PT
-very gentle massage
-stretching exercises
-stopping any at risk activity that can create symptoms
So far, those have been the only things that have helped. My tendonitis was
the easiest of my many maladies to control. At times, it was often the most
painful, too. Tendonitis was the first thing I was diagnosed with.
Frequently, as ya'll know, there are other things going on besides the
tendonitis. I did take Naprosyn for a few weeks. I saw no worthwhile result.
It is an anti-inflammatory so it could help with pain a little. It did give
me one heck of a stomach problem, though. I did hear, I think in this forum,
that one person ended up with a bleeding ulcer as a direct result of
prolonged NSAID use. My Dad was on it, too, for his tendonitis and it wrecked
his tummy. Soon the ulcer was worse than the tendonitis!
Hope this helps,
Anne
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Date: Sat, 2 Dec 2000 11:39:26 -0700
Subject: Re: Tendonitis
Hi Dan;
The whole concept of tendinitis has been evolving in the last year or so, away
from the idea of inflammation, and towards differentiation between different
kinds of "tendinopathies", including tendinosis. This means that treatment
approaches are also changing. If we picture tendons as inflamed, then ice would
be the first remedy. If we picture tendons as flacid and unelastic, lacking
collagen, (as sports MD Karim Khan reports in two journal articles:
http://www.physsportsmed.com/issues/2000/05_00/khan.htm
http://www.physsportsmed.com/issues/2000/06_00/khan.htm )
then warmth might work better.
Feldenkrais and Tai Chi are two techniques that can help tendinitis patients
recover co-ordination and range of motion.
Here is a compilation of links & articles I posted to Sorehand last April, in
response to a query that was similar to yours.
cheers, Penney
Partly because of Carl's questions and partly just to
refresh & update my thinking about tendinitis, I ran a
search & culled the first 250 hits for the 11 listed
below. The new book looks promising but apparently it's
a discussion of approaches rather than a manual for
therapists. I've added James Clay's quote at the end
for another perspective.
FWIW, my impression is that for patients who
do find a variety of helpful techniques, the condition
becomes chronic and manageable rather than "cured".
Depends how severe the problem was when diagnosed. I
was struck, in doing this review, by how rarely any of
the medical sites even addressed long-term prospects
when the condition was *not* self-limiting.
cheers, Penney
http://www.uth.tmc.edu/uth_orgs/pub_affairs/lhl/sep_98/lh0998tendinitis.html
http://www.co.broward.fl.us/mei00248.htm
hypothyroidism presenting as tendinitis
http://www.physsportsmed.com/issues/1997/01jan/knopp.htm
kaiser permanente recommends friction massage
http://www.kaiserpermanente.org/toyourhealth/library/core-tendinitis.html
merck's manual suggests lidocaine injection to the
sheath
http://www.merck.com/pubs/mmanual/section5/chapter59/59d.htm
musician's page also recommends friction massage -- and
describes it
http://www.voyagerrecords.com/artend.htm
this study on use of ultrasound for shoulder tendinitis
picked up several places
http://www.canoe.ca/Health9905/20_tendinitis.html
patient's sheet recommends heat for chronic & recovery
states
http://www.mdmultimedia.com/a/maladie/ma586.htm
new book suggests "structural/osteopathic therapy" eg
manipulation
http://www.tendonsligaments.com/recovery.htm#overview
Tendon & Ligament Healing: A New Approach Through
Manual Therapy
self-published by William Weintraub, august 1999
MD and anesthetist reviews natural & medical remedies
http://www.barefootdoctors.com/softtis.html
Here's James Clay, an NC massage therapist, from his
very useful Orthodoc site at http://www.danke.com
http://www.danke.com/Orthodoc/tendinitis.htm
"Tendinitis and Bursitis
A proposed hypothesis: there is no such thing as
tendinitis or bursitis. Or, if they do exist,
they are like Baptist nuns: theoretically possible, but
extraordinarily scarce.
"Tendinitis and bursitis are, by definition,
inflammations. Massage therapy should not be able
to resolve them. In fact, massage therapy of inflamed
tissue is contraindicated; it ought to
make them worse. Yet in every case of a patient
diagnosed with tendinitis or bursitis, I have
found trigger point activity referring pain into the
area in question, and have been able to
resolve the problem by treating the trigger points and
assigning ergonomic adjustments,
stretches and moist heat (heat is also contraindicated
for inflammations).
"It's time for a rewrite of a section of our medical
mythology."
http://www.rsiprogram.com
Revised
Nov
21,
2000